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Total cost comparison of standard antenatal care with a weight gain restriction programme for obese pregnant women
Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology.
Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
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2011 (English)In: Public Health, ISSN 0033-3506, E-ISSN 1476-5616, Vol. 125, no 5, 311-317 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To perform a cost comparison of a weight gain restriction programme for obese pregnant women with standard antenatal care, and to identify if there were differences in healthcare costs within the intervention group related to degree of gestational weight gain or degree of obesity at programme entry. Study design: A comparison of mean healthcare costs for participants of an intervention study at antenatal care clinics with controls in south-east Sweden. Methods: In total, 155 women in an intervention group attempted to restrict their gestational weight gain to less than7 kg. The control group comprised 193 women. Mean costs during pregnancy, delivery and the neonatal period were compared with the costs of standard care. Costs were converted from Swedish Kronor to Euros ((sic)). Results: Healthcare costs during pregnancy were lower in the intervention group. There was no significant difference in total healthcare costs (i.e. sum of costs during pregnancy, delivery and the neonatal period) between the intervention group and the control group. Within the intervention group, the subgroup that gained 4.5-9.5 kg had the lowest costs. The total cost, including intervention costs, was (sic)1283 more per woman/ infant in the intervention group compared with the control group (P = 0.025). The degree of obesity at programme entry had no bearing on the outcome. Conclusions: The weight gain restriction programme for obese pregnant women was effective in restricting gestational weight gain to less than7 kg, but had a higher total cost compared with standard antenatal care.

Place, publisher, year, edition, pages
Elsevier Science B.V., Amsterdam , 2011. Vol. 125, no 5, 311-317 p.
Keyword [en]
Pregnancy; Weight restriction; Intervention; Cost-effectiveness
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-69914DOI: 10.1016/j.puhe.2011.02.004ISI: 000291674300012OAI: oai:DiVA.org:liu-69914DiVA: diva2:433205
Note
Original Publication: Nicholas DeKeyser, Ann Josefsson, Wiktor Monfils-Gustavsson, Ing-Marie Claesson, Per Carlsson, Adam Sydsjö and Gunilla Sydsjö, Total cost comparison of standard antenatal care with a weight gain restriction programme for obese pregnant women, 2011, Public Health, (125), 5, 311-317. http://dx.doi.org/10.1016/j.puhe.2011.02.004 Copyright: WB Saunders http://www.elsevier.com/Available from: 2011-08-09 Created: 2011-08-08 Last updated: 2017-12-08

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DeKeyser, NicholasJosefsson, AnnMonfils-Gustavsson, WiktorClaesson, Ing-MarieCarlsson, PerSydsjö, AdamSydsjö, Gunilla

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Faculty of Health SciencesObstetrics and gynecologyDepartment of Gynecology and Obstetrics in LinköpingDepartment of Clinical and Experimental MedicineHealth Technology Assessment and Health Economics
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